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Pediatric Epilepsy Diagnosis and Therapy - part 9

Ý kiến TRỊ Andrews-Reiter Phương pháp phương pháp Andrews-Reiter, được phát triển bởi Donna Andrews và Joel Reiter, là một phương pháp tiếp cận mới toàn diện neurobehavioral cho việc sử dụng phản hồi sinh học để điều trị chứng động kinh. Kết quả bước đầu tích cực của họ từ sáu bệnh nhân | 55 VITAMINS HERBS AND OTHER ALTERNATIVE THERAPIES 713 psychogenic nonepileptic seizures 39 40 . Cognitive-behavioral interventions may help epileptic patients with anxiety and depression 35 . FEEDBACK THERAPY Andrews-Reiter Method The Andrews-Reiter method developed by Donna Andrews and Joel Reiter was a new comprehensive neurobehavioral approach for using biofeedback to treat epilepsy. Their initial positive results from six patients with refractory complex partial seizures 41 were replicated at the Victoria Epilepsy Center MacKinnon J personal communication 2002 and others 42 43 . The Andrews-Reiter method was developed to treat patients with refractory epilepsy and antiepileptic drug AED side effects who declined surgery or were not good candidates for it. This approach targets the onset of seizures in developing preventive techniques 44 . An essential part of the Andrews-Reiter treatment is to change the patient s response to preseizure warnings and auras by recognizing them and instituting a new seizure-preventing response 6 . Triggers may be physical e.g. chemical imbalance disturbed sleep and missed medication external people places or situations that cause pressure or stress or internal emotional reactions and stressful states . The Andrews-Reiter treatment program includes cognitive and behavioral counseling to reduce seizure activity through enhanced awareness of premonitory or aura symptoms identifying emotional behavioral physiologic or environmental mechanisms that trigger seizure activity progressive relaxation and reinforcement deep diaphragmatic breathing and EEG and electromyographic EMG biofeedback 44 . Neurofeedback Therapy Operant conditioning of the EEG i.e. neurofeedback or neurotherapy is a noninvasive treatment for patients with refractory epilepsy. Neurofeedback may increase the seizure threshold through producing EEG changes. Initially a quantitative EEG assessment is obtained to identify abnormal regions that can be targeted during .